Provider Demographics
NPI:1730374828
Name:DAVID S SKORY MD PC
Entity type:Organization
Organization Name:DAVID S SKORY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:SKORY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-374-1511
Mailing Address - Street 1:46 ELM ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3524
Mailing Address - Country:US
Mailing Address - Phone:518-793-9820
Mailing Address - Fax:518-793-7517
Practice Address - Street 1:2310 NOTT ST E
Practice Address - Street 2:STE 1
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-4303
Practice Address - Country:US
Practice Address - Phone:518-374-1511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0306Medicare PIN